The Navigator Resource Guide has not been updated for 2025 Open Enrollment. For more current information please visit:
cms.gov/marketplace/in-person-assisters/information-partners.
QUESTION

When can I add family members to my employer plan?

Post enrollment issues | Employer-Sponsored Coverage |
ANSWER

You can add family members during your employer's open enrollment period (check with your employer to find out when this annual enrollment period occurs). If it is outside the open enrollment period for your plan, you may only add family members under certain qualifying circumstances, such as marriage, birth, or adoption of a child, or if your spouse loses coverage through his or her employer or another plan. In cases like these, you are eligible for a special enrollment period to add a family member. If you want to enroll your family member in your employer plan, you have 30 days from the date of the triggering event to do so. (45 C.F.R. § 45 C.F.R. § 146.117.)

Individuals with no coverage
Individuals with coverage
Coverage for small employers
Post enrollment issues